Individual
KATHLEEN O COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 699-2165
Mailing address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
51292
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51292
SOCIAL WORK EXAMINERS
TX
Enumeration date
02/27/2008
Last updated
02/27/2008
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